NPIMap

Individual provider Active NPI

Tyler M Neitlich, MD

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1144429317
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME99487 Issued in FL
Practice address
52 W Underwood St
Orlando, FL 32806
Phone
(321) 841-3900
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12500C WY
Diagnostic Radiology Physician 2085R0202X ME99487 FL Primary
Diagnostic Radiology Physician 2085R0202X 16148 ND

Addresses

Primary practice location

52 W Underwood St
Orlando, FL 32806

Mailing address

52 W Underwood St
MP 153
Orlando, FL 32806
Phone (321) 841-2558

Other practice location 1

100 E Campus View Blvd Ste 100
Columbus, OH 43235-8628
Phone (614) 340-7740

Other practice location 2

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000

Other identifiers 1

IdentifierTypeStateIssuer
ME99487OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, WA, IA, SC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200121000484 WI Practitioner - Diagnostic Radiology 4082702949 Reassigns benefits to 1 organization
I20200416002082 WA Practitioner - Diagnostic Radiology 4082702949 Reassigns benefits to 1 organization
I20200520001991 IA Practitioner - Diagnostic Radiology 4082702949 Reassigns benefits to 1 organization
I20210927000314 SC Practitioner - Diagnostic Radiology 4082702949 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucidsolutions IncGroup PAC ID 0749603462, 84 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

1114 Rosewood LN
Mount Pleasant, SC 29464-3259
Phone (614) 340-7740

1508 Rice Marsh CT
Mt Pleasant, SC 29466-9024
Phone (614) 340-7740

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME99487FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Mar 17, 2022 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Hegg Memorial Hospital CurrentSince May 1, 2020 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Mar 26, 2020 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Jan 1, 2020 Accepting new patients
Hegg Memorial Hospital CurrentSince May 1, 2020 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Mar 26, 2020 Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Mount Sinai Medical Center Past Accepting new patients

Locations

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

100 E Campus View Blvd
Ste 100
Columbus, OH 43235
Phone (313) 745-3430

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1144429317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST",
            "address_2": "MP 153",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "321-841-2558",
            "fax_number": "407-849-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "321-841-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Campus View Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432358628",
            "country_code": "US",
            "telephone_number": "614-340-7740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEITLICH",
        "first_name": "TYLER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "12500C",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME99487",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "16148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME99487",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.